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GENERAL48872
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GENERAL48872
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Last modified
8/24/2016 8:26:17 PM
Creation date
11/23/2007 4:37:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981041
IBM Index Class Name
General Documents
Doc Date
5/9/1994
Doc Name
CERTIFICATE OF INSURANCE
From
PEABODY HOLDING CO INC
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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.--. <br />a6;lli:u. CERTIFICATE OF INSURANCE ISSUE DATE (MMIDpD/YY) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND4 <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />BHJ, INC. ~ POLICIES BELOW. <br />P.O. BOX 6006 COMPANIES AFFORDING COVERAGE <br />SHERIDAN, WY 82801 <br />G-5 <br />INSURED <br />POWDERHORN COAL COMPANY <br />SUBSID. OF WESTERN ASSOC. COAL <br />CALLER BOX 3034 <br />GILETTE, WY 82717 <br />COVERAGES <br />COMPANY <br />A <br />LETTER INSURANCE CO. OF NORTH AMERICA <br />COMPANY B <br />LETTER <br />RECElVE~' <br />COMPANY <br />C <br />CORP LETTER <br /> MAY 91994 <br />COMPANY D <br />LETTER <br />NY E Divisicn c1 rtmerzis rf geolog <br />LETTER y <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TNIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED 8V PAID CLAIMS. <br />CO TYPE OF INSURANCE <br />LTR <br />GENERAL LIABILITY <br />A X COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE X OCCUR. <br />OWNER'S 8 CONTRACTOR'S PROT. <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />DATE (MM/DD/YY) DATE IMMIDDIYY) <br />GENERAL AGGREGATE a N/A <br />CGO G1 658513-0 10/01/93 10/01/94 PRODUCTS-COMP/OPAGG. S 2,000,000 <br />PERSONAL S ADV. INJURY S 1 , DDD , OOO <br />EACH OCCURRENCE f 1 , OOO , OOO <br />FIRE DAMAGE (Any one Ilre) S 5D , DDD <br />MED. E%PENSE (Arty one person) f rj , D D D <br />X Broad Form Vendors Coverage Included <br />AUTOMOBILE LIABILITY <br />A X ANV AUTO <br />X ALL OWNED AUTOS <br />X SCHEDULED AUTOS <br />X HIRED AUTOS <br />X NON-OWNED AUTOS <br /> GARAGE LIABILITY <br />E%CE39 LIABILITY <br />UMBRELL4 FORM <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />OTNER <br />STATUTORY LIMITS <br />EACH ACCIDENT f <br />DISEASE-POLICY LIMIT f <br />DISEASE-EACH EMPLOYEE S <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VENIgL I~N~ OPERATIONS IN STATE OF COLO. INCLUDING <br />POWDERHORN COAL CO., ROADSIDE, SOUTH PORTAL AND ROADSIDE, NORTH PROTAL, <br />INCLUDES DAMAGES FROM SURFACE COAL MINING OPERATIONS, USE OF EXPLOSIVES & <br />DAMAGE TO WATER WELLS. <br />CERTIFICATE HOLDER CANCELLATION <br />COLORADO DEPT OF NAT'L RES. <br />DIV OF MINERALS 8 GEOLOGY <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER, CO 80203 <br />COMBINED SINGLE f <br />SCA HO 502377-4 10/01/93 10/01/94 LIMIT 1,000,000 <br />BODILY INJURY f <br />(Par person) <br />BODILY INJURY S <br />(Per eccitleni) <br />j PROPERTY DAMAGE S <br />f EACH OCCURRENCE S <br />AGGREGATE S <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE MPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORRED REPRESENTATIVE <br />~~ <br />ACORD 25.8 (7/90) _ _ _ _ _ ©ACORD CORPORATION 1990 <br />
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